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原发性输卵管癌是女性生殖道中最少见的癌肿,文献报道占女性生殖器肿瘤的0.16％～0.5％。临床缺乏特有表现,早期诊断困难,现将我院收治的2例报告如下。 例1 56岁。下腹疼痛,阴道流血水1年,于1982年5月4日入院。16岁初潮,经量偏多,22岁结婚,未孕,52岁绝经。妇科检查:外阴已婚未产型,宫颈光滑,子宫前位,稍大,硬,活动受限。左侧附件区触及直径约10×7×6cm包块,与宫体分界不清。拟诊左侧附件肿瘤。10日在硬膜外麻醉下剖腹探查,子宫正常大小,偏右,左侧附件有9×5×4cm实性包块,行全子宫及双侧附件切除。
Primary fallopian tube cancer is the most common cancer in the female reproductive tract, accounting for 0.16% to 0.5% of the female genital tumors reported in the literature. Clinical lack of specific performance, early diagnosis difficult, now admitted to our hospital 2 cases are as follows. Example 1 56 years old. Abdominal pain, vaginal bleeding 1 year, on May 4, 1982 admitted. 16-year-old menarche, by the amount of too much, 22-year-old married, not pregnant, 52-year-old menopause. Gynecological examination: genital married unproductive type, cervical smooth, anterior uterine, slightly larger, stiff, limited activities. Access to the left annex area of about 10 × 7 × 6cm diameter mass, and clear boundaries between the palace. To be diagnosed with left accessory tumor. On the 10th under epidural anesthesia laparotomy, the normal size of the uterus, right, left attachment with 9 × 5 × 4cm solid mass, the line of hysterectomy and bilateral attachment resection.